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Limitation of abduction of the right eye. This individual tries to look to his right, but the right eye fails to turn to the side. Damage to the peripheral part of the abducens nerve will cause double vision , due to the unopposed muscle tone of the medial rectus muscle. The affected eye is pulled to look towards the midline.
Sixth nerve palsy, or abducens nerve palsy, is a disorder associated with dysfunction of cranial nerve VI (the abducens nerve), which is responsible for causing contraction of the lateral rectus muscle to abduct (i.e., turn out) the eye. [1]
With the abducens nucleus it makes up the horizontal gaze centre. [1] It is situated in the pons adjacent to the abducens nucleus . [ 2 ] It projects to the ipsilateral abducens (cranial nerve VI) nucleus, and contralateral oculomotor (cranial nerve III) nucleus [ note 1 ] to mediate conjugate horizontal gaze and saccades .
Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs.Cranial nerves relay information between the brain and parts of the body, primarily to and from regions of the head and neck, including the special senses of vision, taste, smell, and hearing.
The abducens nerve (CN VI) tracks along the clivus during its course. [3] Increased intracranial pressure can trap the nerve at this point and cause signs of palsy . The clivus is also the site for chordoma , a rare type of cancer .
The abducens nucleus is the originating nucleus from which the abducens nerve (VI) emerges—a cranial nerve nucleus. This nucleus is located beneath the fourth ventricle in the caudal portion of the pons near the midline, [ 1 ] medial to the sulcus limitans .
The pontine tegmentum contains nuclei of several cranial nerves and consequently has a role in several groups of sensory and motor processes. The principal sensory nucleus of the trigeminal nerve represents touch and position information of the head and face, but not the neck or back of the head, which are innervated by the cervical nerves.
The lateral rectus is the only muscle supplied by the abducens nerve (CN VI). The neuron cell bodies are located in the abducens nucleus in the pons.These neurons project axons as the abducens nerve which exit from the pontomedullary junction of the brainstem, travels through the cavernous sinus and enter the orbit through the superior orbital fissure.